| NPI | 1851127336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CESAR L PEREZ Medical Doctor 728-218-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2025-05-16 |